Manejo de la EPOC estable en relación con la GOLD: Experiencia en un hospital universitario

introduction: this paper presents a prospective and descriptive study discussing the outpatient care plan in a public hospital in bogotá for patients with stable copd according with the gold recommendations. the paper presents as well the influence of factors such as education, pharmacological treatment, pulmonary rehabilitation and oxygen-therapy. a survey was carried out among patients, and the results were evaluated and validated by a group of experts; a personal data card for the review of clinical records was considered. materials and methods: this is a three-phase study. on the first phase, selected patients from outpatient care visits were included with a primary diagnosis of copd on the stable condition stage; these patients had no evident exacerbation in at least one month before the survey. clinical records, demographic data (gender, age), previous control dates, required examinations, prescribed medicines, referral to pulmonary rehabilitation programs, exercises and domiciliary oxygen-therapy were recorded. on the second phase, the survey was carried out among 61 adult patients who met the inclusion criteria and the clinical record register. on the third phase, the analysis and interpretation of the results were carried out with a statistic processing of the information, which considers multivariate and univariate data analysis using the software spss version 11.5 for windows. results: the number of patients with copd diagnosis studied during the research period of time in our hospital outpatient service was 69, however only 61 of them fulfilled all the inclusion criteria. sixty-one patients were interviewed, average age, 73. seventy percent were female. fifty percent of the participants were from low schooling, social and economic segments of the population; 50% had no formal education and 93% were family dependent. the major risk factor reported (84%) was wood fire smoke, with an average exposure of more than 20 years (72%). thirty percent considered th